Organization
SHADOW CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY SAGALA DC (MEMBER)
(248) 968-9371
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 158, SOUTHFIELD, MI 48075-3765
(248) 782-5582
Mailing address
23077 GREENFIELD RD STE 158, SOUTHFIELD, MI 48075-3765
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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